Individual
DR. MICHAEL LYNN HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNPC APRN FNP PMHNP
Contact information
Practice address
4633 OLD IRONSIDES DR STE 304, SANTA CLARA, CA 95054-1846
(323) 205-7088
(731) 207-7611
Mailing address
728 N SAMPSON AVE, DYERSBURG, TN 38024-3962
(323) 205-7088
(731) 207-7611
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
23860
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
23860
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
NP95017742
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q044081
—
TN
Enumeration date
01/06/2018
Last updated
11/05/2025
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